pharmacy news
Coming July 2017-New Printable and Web Searchable CenCal Health Formulary
Effective July1, 2017, the CenCal Health formulary will be available in an updated PDF version and an enhanced web searchable version. The content of the PDF version will remain the same with a new, improved look. The web searchable version will include additional features that allow a user to search for formulary brand/generic names and all carve-out drugs. There will be interactive icons with detailed information on Step Therapy Restrictions, Age Limits, Code 1 Restrictions, Quantity Limits, Specialty Drugs, and Prior Authorizations.
Formulary Updates
Formulary Updates May-June 2017
CenCal Health has made several changes to our Formulary based on clinical review, provider interest, cost and utilization analysis.
All of the changes represent development and growth of our current Formulary thus giving more choices to the prescribing physician. The changes are represented in summary on the chart below.
Drug
|
Class
|
Formulary Status
|
Restriction/Limits
|
Implementation Date |
| Formulary Additions |
| Brilinta®60mg |
Hematological Disorders
|
Formulary |
|
5/1/2017 |
Synjardy XR®
5mg/1000mg
12.5mg/1000mg
|
Diabetes |
Formulary: Quantity Restriction |
Restriction: 60 tablets or less per month |
5/1/2017 |
Synjardy XR®
10mg/1000mg
25mg/1000mg
|
Diabetes |
Formulary: Quantity Restriction |
Restriction: 30 tablets or less per month |
5/1/2017 |
| Testosterone Cypionate |
Hormonal Deficiency |
Formulary: Quantity Restriction |
Restriction: 4ml/28 days |
6/1/2017 |
| Ciclopirox 8% Topical Solution |
Dermatology-Anti-Infective |
Formulary: Quantity Restriction |
Restriction: 6.6ml (1 bottle) 30 days |
6/1/2017 |
| Imiquimod 5% Cream |
Immunosuppression/Modulation |
Formulary: Quantity Restriction |
Restriction: 12 packets /30 days |
6/1/2017 |
| Linzess® 72mcg |
Lower Gastrointestinal Disorders/Bowel Inflammation |
Formulary: Code 1 |
Restriction: Code 1-
"Must be prescribed by a Gastroenterologist" |
6/1/2017 |
| Restasis® Multi-Dose |
Eye-General Disorders |
Formulary |
|
6/1/2017 |
| Lidocaine 4% Cream |
Dermatology-Miscellaneous |
Formulary: Quantity Restriction |
Restriction: 30gm/30 days |
6/1/2017 |
| Formulary Changes |
| Androlgel® |
Hormonal Deficiency |
Non-Formulary |
Removed from Formulary |
6/1/2017 |
| Axiron® |
Hormonal Deficiency |
Non-Formulary |
Removed from Formulary |
6/1/2017 |
specialty pharmacy
Specialty medications are processed uniquely, require special handling, and entail personalized medication management. CenCal Health has contracted exclusively with Diplomat and Accredo Specialty Pharmacy to provide specialty medications for our members. Learn more about specialty medications and review our Specialty Drug List.
